Page 120 - JCBP-3-3

Journal of Clinical and
Basic Psychosomatics Psychogenic fever and palpitations in autonomic dysfunction

Appendix

Generalized Anxiety Disorder Questionnaire (GAD-7)
Total Score: _____13_____ Anxiety Severity: _____Moderate______

Over the last two weeks, how often have you been bothered by any of the following problems? (use "√" to indicate your answer)
No. Item Not at all=0 Several days=1 More than half the days=2 Nearly every day=3
1 Feeling nervous, anxious or on edge? √
2 Not being able to stop or control worrying? √
3 Worrying too much about different things? √
4 Trouble relaxing? √
5 Being so restless that it is hard to sit still? √
6 Becoming easily annoyed or irritable? √
7 Feeling afraid as if something awful might happen? √

Patient Health Questionnaire (PHQ-9)
Total Score: ____6______ Depression Severity: ____Mild_______

Over the last 2 weeks, how often have you been bothered by any of the following problems? (use "√" to indicate your answer)
No. Item Not at all =0 Several days =1 More than half Nearly every
the days =2 day =3
1 Little interest or pleasure in doing things √
2 Feeling down, depressed, or hopeless √
3 Trouble falling or staying asleep, or sleeping too much √
4 Feeling tired or having little energy √
5 Poor appetite or overeating √
6 Feeling bad about yourself or that you are a failure or have let yourself √
or your family down
7 Trouble concentrating on things, such as reading the newspaper or √
watching television
8 Moving or speaking so slowly that other people could have noticed. √
Or the opposite being so figety or restless that you have been moving
around a lot more than usual
9 Thoughts that you would be better off dead, or of hurting yourself √

(Cont’d)
Appendix 1. Questionnaires used in this study

Volume 3 Issue 3 (2025) 114 doi: 10.36922/jcbp.4864